Risk factor modification after myocardial infarction.
Risk factor modification after myocardial infarction.
复制标题
心肌梗死后危险因素的改变。
DOI：
10.7326/0003-4819-109-3-213
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发表时间：
1988
影响因子：
39.2
通讯作者：
Stephen B. Hulley
中科院分区：
文献类型：
--
作者：
D. Siegel;Deborah Grady;Warren S. Browner;Stephen B. Hulley
心肌梗死患者的危险因素的改变在文献中很少受到关注。然而，冠心病复发的主要可改变的危险因素，包括高血压、吸烟、血清胆固醇水平升高、久坐不动的生活方式和肥胖，都是其发展的危险因素。虽然冠状动脉粥样硬化已经在心肌梗死患者中确立，但有证据表明，通过改变危险因素的二级预防项目，可以显著减少冠心病复发和死亡。心脏病患者的复发率和死亡率较高，这意味着可以通过相对较小的风险因素减少来实现这些事件发生率的大幅降低。患有心肌梗死的患者也积极参与医疗保健，并可能高度积极地改变他们患心脏病的风险。
Modification of risk factors in patients who have had myocardial infarctions has received little attention in the literature. Yet, major modifiable risk factors for recurrent coronary heart disease, including hypertension, smoking, increased serum cholesterol levels, sedentary lifestyle, and obesity are the same risk factors for its development. Although coronary atherosclerosis is already established in patients who have had a myocardial infarction, evidence suggests that important reductions in recurrent coronary heart disease and death can be achieved through secondary prevention programs that modify risk factors. The high risk for recurrence and mortality in patients who survive a heart attack means that substantial reductions in the rates of these events can be achieved with relatively small reductions in risk factors. Patients who have had a myocardial infarction are also active participants in health care and are likely to be highly motivated to modify their risks for cardiac disease.